HomeMy WebLinkAboutPL 1973-679 New Single Family ' Permit No. 1 ci
$4r/ (Building) VILLAGE OF OAK PARK HEIGHTS Plan No.
(For Dept. use only)
TOTAL FEE COLLECTED
DCL BLE FEE COLLECTED
ACCOUNT ORDINANCE I 7
VIOLATION )A # L/
(MARK X IN SQUARE) CCCIII
APPLICATION FOR PERMIT
Date .2"/ — 22. 19_
To: STRUCTURE USED AS
REFRG. HANG
MARK BUILD PLUMB. HEAT INSTALL ALTER REPAIR REROOF RESIDE MOVE WRECK SIGN
•
SQUARES �J LI
BY X 0,70 n J
Owner A l r C. p u r / i e Ad dress � y �o � 9 t 4Jt (nt Di ' ' 1.
Architect Address
/�
General Contractor 9 y i 7 ll2 p.„.....,
Address ? -1-1 ,L /pi
Contractor R eg. No. �
9 ,..e..,—.._,2_, .
NUMBER STREET SIDE BETWEEN WHAT CROSS STREETS
/ & /O' i 6, n . • K,
LOT BLOCK ADDITION OR TRACT
WIDTH DEPTH SIDE LOT CLEARANCE FRONT BUILDING LINE
LOT
WIDTH LENGTH HEIGHT NO. OF STORIES TYPE OF CONSTRUCTION ESTIMATED VALUE
STRUCTURE
BASEMENT YES
DETAILS OR REMARKS:
❑ NO ' &172�1. J
The undersigned hereby makes application for a permit to do Building Work as herein specified, a eeing to do in strict accordance with
all ordinances of the Village of Oak Park Heights. Contractors must register with the village bef a permit c b sue .
SIGNED ......a...9 �L
BY